Transcript Dudley Learning Disabilities Obesity Charter Launch

Dudley Public Health & The Ridge Hill Centre
Health Access Services Partnership
By NHS Dudley Weight Management Team & Health Access Team May 2012
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Setting the Scene
Learning Disabilities Data
Facts & Figures
Slimmers’ Kitchen
Facts & Figures
Counterweight
Facts & Figures
Next Steps
Summary
By NHS Dudley Weight Management Team & Health Access Team May 2012
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Dudley has a population of 307,362
151,116 males & 156,246 females
1167 (0.38%) people Special Needs Register
Care Facilities:
- 35 LD Care Homes
- 242 Residential/Nursing Homes
- 16 Supported Living Schemes
- 225 Own Tenancies
- 488 Family (mainstream)
1 PCT & 1 MBC
By NHS Dudley Weight Management Team & Health Access Team May 2012
1400
1200
1000
800
Qof
LD 918e
600
400
200
0
Qof
LD 918e
Registered LD
1250
984
Obesity Register
996
805
Obesity %
79.7
81.8
By NHS Dudley Weight Management Team & Health Access Team May 2012
Special Needs
Register
2010/2011
2011/2012
Increase
Service users
1020
1167
147
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Out of borough residents
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Aspergers Diagnosis
By NHS Dudley Weight Management Team & Health Access Team May 2012
Year
2008/9
2009/10
2010/11
2011/12
Total to
date
Annual DES
received from
GP’s
60
209
227
260
756
The table above shows the annual completed DES Health Checks (May 2012)
Number of people with Health Issues
446
58.9%
Number of overweight/obese people
162
36.3%
The table above shows the breakdown of the annual DES Health Checks received (May 2012)
By NHS Dudley Weight Management Team & Health Access Team May 2012
Obesity
180
160
Number of Pt
140
120
100
Obesity
80
60
40
20
0
Obesity
0-4
0
5-14
41
15-24 25-34 35-44 45-54 55-64 65-74 75-84
124
135
158
158
107
53
21
85+
8
Ages
By NHS Dudley Weight Management Team & Health Access Team May 2012
Percentage of respondents who are overweight or obese (BMI>25)
2008/9
2009/10
Persons 14 (23.3%) 41(19.6%)
Males
2010/11
2011/12
55 (24.2%)
52 (20%)
5 (35.7%)
16 (39%)
29 (52.7%)
23 (44.2%)
Females 9 (64.3%)
25 (61%)
26 (47.3%)
29 (55.8%)
BMI range from 27.5Kgm2 – 50+Kg m2
 Not a true reflection due to inconsistencies in data recording
By NHS Dudley Weight Management Team & Health Access Team May 2012
Referral initiated by DES
Health Check
Self Referral
Health Professional Referral
Referral to Health
Access Service
Initial assessment & Weight monitoring
Client programme choice is determined
Letters to GP & referrer
Slimmers’ Kitchen LD
Counterweight LD
Commercial programmes
with/without support?
NO
YES
Set individual outcomes & Inform GP
GP Health Declaration Form to GP
Slimmers Kitchen
programme
Counterweight
programme
Evaluate
Weight
Watchers/Slimming
World/ Rosemary
Conley
One to one sessions
Sign post to other services
Evaluate
Follow up
Follow up
By NHS Dudley Weight Management Team & Health Access Team May 2012
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Referrals for Weight Management 2010
Des Health
check
GP
Self
referrals
Other
Total
Professionals
5(29.4%)
1(6.1%)
5(29.4%)
6(35.3%)
17(100%)
Referrals for Weight Management 2011
Des Health
check
GP
Self referrals
Other
Total
Professionals
12(29%)
2(5%)
2(5%)
25(61%)
41(100%)
Referrals for Weight Management 2012
Des Health
check
GP
Self
referrals
0
1(11.1%) 3(33.3%)
Other
Total
Professionals
5(55.5%)
9(100%)
By NHS Dudley Weight Management Team & Health Access Team May 2012
• 15 weeks, once a week, for 2 hours
• Each week: 1 hour nutrition workshop; 1 hour Physical
Activity & taster session
• Group environment
Slimmers Kitchen Aims:
To improve participants knowledge of healthy food
choices
Increase knowledge of nutrition & the benefits of
physical activity
To offer free calorie controlled recipes
To increase participants physical activity levels
For participants to lose weight (5% weight loss target)
To decrease participants waist circumference
By NHS Dudley Weight Management Team & Health Access Team May 2012
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Groups – 2 groups = 16 participants
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Results
Groups
#
Ave Start
wt (Kg)
Ave End Ave wt
5% wt
wt (Kg) loss (Kg) loss
Ave BMI
Change
1 (Jan 11)
9
94.48
92.37
2.11
2
1
2 (May 11)
7
88.5
65.3
1.37
0
1
By NHS Dudley Weight Management Team & Health Access Team May 2012
Background:
- Mild Learning Disability/ Schizophreina &
Velo cardio-facial Syndrome
 Anthropometric Data:
-Height 1.74m Weight 121.55Kg BMI 39.9Kgm2
 Intervention:
- 1:1 staff support and SKLD -Duration ongoing
 Results:
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Start weight Kg
BMI
Current Weight Kg
BMI
BMI Change
121.55
39.9
106.6
35
4.9
By NHS Dudley Weight Management Team & Health Access Team May 2012
Counterweight LD is a 1:1 intervention that runs for 18
months
 Person centred and bespoke dependent upon the
individuals needs.
Counterweight Aims:
To improve participants knowledge of healthy food choices
Increase knowledge of nutrition & the benefits of physical
activity
To offer free calorie controlled recipes
To increase participants physical activity levels
For participants to lose weight (a 5% weight loss target is
set)
To decrease participants waist circumference
By NHS Dudley Weight Management Team & Health Access Team May 2012
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9 Ridge Hill members of staff trained in
Counterweight Programme
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11 Active Counterweight Clients
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Average weight loss 1-3kg
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With improved lifestyle changes
By NHS Dudley Weight Management Team & Health Access Team May 2012
Background:
- Moderate Learning Disability/Austic Spectrum
disorder
 Anthropometric Data:
-Height 1.75m Weight 118.8Kg BMI 38.1Kgm2
 Intervention
- 1:1 (Counterweight principles) -Duration ongoing
 Results:
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Start weight Kg
BMI
Current Weight Kg
BMI
BMI Change
118.8
38.1
89.8
29.3
8.8
By NHS Dudley Weight Management Team & Health Access Team May 2012
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6 Week Training Programme
Nutrition Assessment (baseline knowledge)
Education on the Key Weight Management
messages
Weekly weighing of carers and clients
Nutrition Assessment -Retest
Programme Evaluation
By NHS Dudley Weight Management Team & Health Access Team May 2012
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Exit Route for SK LD
Expanded partnership
(RH, Dudley PCT, MBC & Care providers)
Park Rangers Partnership - training
Current Location
MSP- Length of time – Mar 2011(14mths)
Date, Time and # Attending
Participants Feedback & Documentation
Other locations
Leisure Centres activity
By NHS Dudley Weight Management Team & Health Access Team May 2012
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Building Stronger links with GP
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Expanding Programme Numbers
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Expanding Carers programme
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Other programmes - SHAPES
By NHS Dudley Weight Management Team & Health Access Team May 2012
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Although small changes at individual level, these health interventions
have the potential to impact the Learning Disability population
significantly - wider impact on family members.
Most participants who complete the programme go on to maintain the
lifestyle changes made (esp those with support).
Follow ups although good have highlighted the need for frequent
refreshing of key messages to ensure sustainability.
Bespoke services seem to be the best with a combination of activity
and exercise.
Evaluation has highlighted the need to re educate the carers to
ensure client sustainability.
By NHS Dudley Weight Management Team & Health Access Team May 2012
Thank you
By NHS Dudley Weight Management Team & Health Access Team May 2012